后重症监护综合征 后重症监护综合征 临床医生和研究人员必须知道的东西
Fanny Vardon1, Carolin Fleischmann-Struzek2, Nicola Latronico3
1University Hospital of Toulouse, Anaesthesia, Critical Care and Perioperative Medicine, Toulouse, France; University of Toulouse III INSERM U1297, Institute of Cardiovascular and Metabolic Diseases, Toulouse, France.
后重症监护综合征 (PICS) 影响了长期身体,精神和认知问题的幸存者和亲属. 本综述详细介绍了PICS流行病学,病理生理学和管理策略,以改善患者的治疗结果.
科学领域:
- 关键护理医学 关键护理医学
- 公共卫生 公共卫生
- 神经学 神经学
背景情况:
- 重症监护病房 (ICU) 非常重要,但幸存者面临着重大的长期健康挑战.
- 随着COVID-19的爆发,人们越来越意识到后重症监护综合征 (PICS) 的流行和影响.
- PICS不仅影响患者,还影响他们的亲属,增加医疗保健成本并降低生活质量.
研究的目的:
- 审查有关PICS流行病学,病理生理学和管理的当前发现.
- 突出PICS对重症幸存者及其家人的影响.
- 为PICS管理和未来研究提出战略.
主要方法:
- 对PICS.最近发现的文献综述.
- 对PICS相关疾病的流行病学数据的分析.
- 对PICS病理生理学和干预措施的当前知识的综合.
主要成果:
- 集中治疗室的幸存者有很高的精神健康障碍,体力障碍和认知功能障碍.
- 强症监护室患者的亲属也患有心理健康问题.
- 现有的管理和治疗干预措施在改善结果方面取得了不同程度的成功.
结论:
- PICS是一个重要的公共卫生问题,需要专门的管理策略.
- 在随访中心实施PICS管理对于长期的患者福祉至关重要.
- 需要进一步的研究来完善PICS干预措施并改善幸存者的结果.
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